Utilization Review Jobs in USA

DescriptionMake a career out of making a difference.If youre passionate about helping others live meaningful self-directed lives Volunteers of America Oklahoma (VOAOK) is the place for you. Join a mission-driven team that provides compassion support and stability to some of Oklahomas most vulnerable...

Description Recognized by Newsweek in 2024 and 2025 as one of Americas Greatest Workplaces for DiversityGrow your career with Brookdale! Our Clare Bridge Program Coordinators have opportunities for advancement by exploring a new career in positions such as Clare Bridge Program Managers Resident Prog...

OverviewKey Rehab is looking for a Program Coordinator (OT or PT)to join our team in providing excellent care in the Falls City NE area in a SNF setting.**Apply now to qualify for a Sign-on Bonus up to $5000**Education:-Required: Completion of an accredited PT OT or SLP program Experience:-Preferred...

If you are an Internal City Employee Retiree or Dependent/Survivor of a City Employee please apply internally via Career Icon in your Workday account. Make a difference in the community you live in! As a Community Builderan employee with the City of Gainesville you will have a direct hand in building...

Utilization Management Physician (UMP)Full-Time Remote Florida License RequiredWe are seeking aUtilization Management Physician (UMP)for a full-time remote opportunity with a well-established multi-specialty healthcare organization in Florida. This role requires strong clinical judgment critical t...

Scope of Work: Under general direction integrates cost quality and utilization to facilitate the admission continued stay and discharge of the patient. Reviews and evaluates appropriateness of admission or continued stay based on medical necessity. The overall goal of the position is to enhance the...

Description Schedule: PRN WeekendsYour experience mattersCollin Springs is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Progra...

DescriptionPosition Summary: Provide operational leadership toindividual contributors and hourly workforce to ensure the execution of daily tasks and activities including driver deliveries loading/unloading of trailers cross docking and customer service operations in a manner consistent with company...

Title:Special Operations Nurse Case Manager / Case Manager (Dam Neck VA)We are seeking a stellar Special Operations Nurse Case Manager that will provide a full range of professional health nursing principles practices and procedures in clinical settings in order to analyze the full scope of problems...

SummaryCare management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience especially when multiple health care providers and different care settings are involved. Taken collectively care management interventions a...

The University of Iowa Healthcare Department of Pharmaceutical Care is seeking a Director Pharmacy Informatics & Medication Safety.The Director of Pharmacy Informatics & Medication Safety provides strategic leadership for the safe effective and innovative use of medication-related technology across...

Job Description: Summary:This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls creating...

Overview:A recognized leader building energy performance expert and trusted change agent who helps HKS project teams translate ambition into measurable outcomes: healthy resilient low-carbon buildings that improve peoples lives. Leads the Building Performance Analysis team and brings deep fluency in...

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

Bosch Building Technologies System Analyst IIAbout Robert Bosch GmbHHeadquartered in Germany Robert Bosch GmbH is a premier global supplier with four primary business sectors: Automotive Technology Industrial Technology Consumer Goods and Energy and Building Technology. Over 400000 associates gener...

Job Title: Senior Medical Reviewer Company Overview: Pulivarthi Group is a premier global provider of staffing and IT technology solutions renowned for delivering exceptional services tailored to each clients unique needs. With a steadfast commitment to excellence we merge expertise with inno...

WHAT YOU WILL DO: As the Program Quality Coordinator you will be responsible for ensuring high-quality services for our programs. This includes program oversight conducting site visits independent Electronic Health Record (EHR) data reviews and follow through with Operations to build on strengths an...

The VN program Coordinator works with and functions under the supervision of the Campus VN Program Director and VN Assistant Program Director for the Vocational Nursing Program.Job Responsibilities include:Assists with planning developing managing updating and evaluating all aspects of the program.A...

The Fire Department of the City of New York (FDNY) is the largest Fire Department in the United States and universally is recognized as the worlds busiest and most highly skilled emergency response agency. The Departments main goal is to provide fire protection emergency medical care and other criti...

HOW YOU WILL IMPACT THE BIG PICTURE:The Political Correspondent is a dedicated newshound and seasoned field reporter who will work closely with the EWTN News political coverage team and Catholic News Agencys editors to cover news from a Catholic perspective at the White House Congress and U.S. depar...